Taylor Adrienne Chandler

Individual provider Active NPI Clinical Psychologist · Canal Winchester, OH

NPI 1477135366 · NPPES record last updated Apr 21, 2021

Key facts

NPI
1477135366
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
P.08144 (OH)
Practice address
7750 Diley Rd Ste a
Canal Winchester, OH 43110-7758
Phone
(614) 837-7337
NPI assigned
Apr 21, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
P.08144OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Assoicates, Inc. Current
since Jan 19, 2025
Accepting new patients
Oh Independent Medical Group LLC Past
since Apr 25, 2021
Accepting new patients

Locations

7750 Diley Rd
Ste A
Canal Winchester, OH 43110
Phone (614) 837-7337

Interoperability endpoints

  • Direct secure messaging: taylor.chandler.2@26020.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X P.08144 OH Yes

Addresses

Primary practice location

7750 Diley Rd Ste a
Canal Winchester, OH 43110-7758

Mailing address

7750 Diley Rd Ste a
Canal Winchester, OH 43110-7758

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 21, 2021.

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1477135366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 DILEY RD STE A",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431107758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 DILEY RD STE A",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431107758",
            "telephone_number": "614-837-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "TAYLOR",
        "middle_name": "ADRIENNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "P.08144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Winchester, OH

All providers in Canal Winchester, OH · Clinical Psychologist in Ohio

Sources for this page

Verify at the official NPI Registry.